This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Smith, C. D. Articles by Sarr, M. G. Search for Related Content PubMed PubMed Citation Articles by Smith, C. D. Articles by Sarr, M. G. Social Bookmarking                         What's this?

Clinically Significant Pneumatosis Intestinalis with Postoperative Enteral Feedings by Needle Catheter Jejunostomy: An Unusual Complication

Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Michael G. Sarr, M.D.

Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

We evaluated the incidence of clinically significant pneumatosis intestinalis and intestinal necrosis with the use of needle catheter jejunostomy in 217 consecutive patients who had undergone complicated abdominal operations or selected bariatric procedures. The needle catheter jejunostomy was used to deliver immediate postoperative nutrition, maintenance, and replacement fluids, and selected medications. In this group, no serious complications requiring surgical intervention were related to the use of needle catheter jejunostomies. Clinically significant pneumatosis intestinalis was encountered in two of 217 patients (1%). With the needle catheter jejunostomy in place, both patients improved rapidly when enteral feedings were discontinued and parenteral antibiotics were administered. None of the 217 patients developed ischemic intestinal necrosis. We conclude that 1) clinically significant pneumatosis is a rare complication of enteric feeding via needle catheter jejunostomy when the intrajejunal feeding is begun with a diluted, hypoosmolar solution with stepwise increases in osmolality, and 2) patients who do develop clinically significant pneumatosis (n=2) seem to respond rapidly to a temporary stoppage of enteral feedings and administration of parenteral antibiotics. (Journal of Parenteral and Enteral Nutrition 15:328-331, 1991)

Journal of Parenteral and Enteral Nutrition, Vol. 15, No. 3, 328-331 (1991)
DOI: 10.1177/0148607191015003328


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. D. St. Peter, M. A. Abbas, and K. A. Kelly The Spectrum of Pneumatosis Intestinalis Arch Surg, January 1, 2003; 138(1): 68 - 75. [Abstract] [Full Text] [PDF]

				G. L. Jensen, G. Sporay, S. Whitmire, R. Taraszewski, and M. J. Reed Intraoperative Placement of the Nasoenteric Feeding Tube: A Practical Alternative? JPEN J Parenter Enteral Nutr, May 1, 1995; 19(3): 244 - 247. [Abstract] [PDF]

				G. Minard Invited Review: Enteral Access Nutr Clin Pract, October 1, 1994; 9(5): 172 - 182. [Abstract] [PDF]

				L. R. Carucci, M. S. Levine, S. E. Rubesin, I. Laufer, S. Assad, and H. Herlinger Evaluation of Patients with Jejunostomy Tubes: Imaging Findings Radiology, April 1, 2002; 223(1): 241 - 247. [Abstract] [Full Text] [PDF]